NRS Life Care Plans are based upon solid medical foundation, but what makes them uniquely defensible is our clinical experience.

Credible – With over 30 years Case Management and Occupational Therapy experience, we have personally followed 100’s of adults and children with serious injuries over decades. We know firsthand how an individual’s status can change over time and what would be considered reasonable, and we ensure this is consistently reflected across all recommendations from the medical and rehabilitation team. 

Understandable – We also know from experience that our specialized knowledge of Disability and Life Care Planning is only valuable if it is well communicated. As a result, NRS reports and testimony are clear and easily understood by lawyers, judges and jurors. 

Case Example: How clinical experience impacts Life Care Planning

Robert sustained a serious brain injury as a very young child. He has been followed by NRS for decades, through years of intensive therapy and academic support as a youngster, through the trauma of adolescence when he fell behind his peers and started acting out, to the period when he was homeless and refusing support, to his return to rehabilitation and, with support, involvement in a College Program. This was followed by regular evictions, substance abuse and involvement with the police. As a middle age man, he is finally settled in a safe living environment and able to maintain a series of part time jobs. But without the ongoing supports he has had over the years and will continue to need throughout his lifetime, he will likely be homeless or incarcerated, and at serious risk of harm.

Working with this man and others like him, we know the complicated life course associated with pediatric brain injury, and how vital it is that the proper supports are available at the proper time and over the long term. This type of first hand clinical long term experience extends to a full range of serious injuries, including spinal cord injury, orthopedics, burns, amputations and psychological/psychiatric disorders.

NRS – credible, understandable, defensible Life Care Planning by experienced clinicians.


Meet the NRS LCP Team:

Marie Hren
B.Sc.O.T., OT Reg.(Ont), CCLCP

Marie and the NRS team are honoured to have been nominated Rehabilitation Company of the Year 2014 and 2015 in the Ontario Brain Injury Association Awards of Excellence

Marie Hren is an Occupational Therapist registered to practice by The College of Occupational Therapists of Ontario. She graduated with a diploma in Occupational Therapy from the University of Manitoba in 1973, a Bachelor of Science degree in Occupational Therapy from the University of Toronto in 1982, and was certified in Life Care Planning through the University of Florida in 2011.

Marie spent 15 years working in hospital based Neuro-Rehabilitation at the now named Bridgepoint Health Hospital. She is certified in Neuro-developmental Therapy. 

In 1987, Marie co-founded Neuro-Rehab Services. In addition to acting as Co-Director, helping NRS grow to become one of the leading community based rehabilitation companies in Ontario, she also has decades of experience providing home, community, work and school based Occupational Therapy and Case Management, as well as Life Care Plans, for individuals with a variety of brain and other serious injuries. 

Marie has also lectured on various topics related to brain injury rehabilitation to Occupational and Physical Therapy students at the University of Toronto and Queens University, and has presented at local and national brain injury conferences and symposia.

Patricia Howell
M.B.A., B.Sc.O.T., OT Reg.(Ont), CCLCP

Nominated Health Care Provider of the Year 2014 and Case Manager of the Year 2015 in the Ontario Brain Injury Association Awards of Excellence

Patricia is an Occupational Therapist registered to practice by The College of Occupational Therapists of Ontario. She graduated with a B.Sc.O.T. from Queen’s University in 1982 and an MBA from York University in 1990, and was certified in Life Care Planning through the University of Florida in 2011.

Patricia worked in various acute care and rehabilitation facilities, including the now named Holland Bloorview Kids Rehabilitation Hospital where she was certified in Neurodevelopmental Therapy. Since joining Neuro-Rehab Services in 1995, she has provided community based Occupational Therapy and Case Management services for 100’s of adults and children with brain injury and/or other serious injuries, and has become a leader in the Life Care Planning community.

Patricia’s other experience includes program and staff development, organizing and presenting at major symposia, and as Manager of Development and Communications, she is responsible for ensuring NRS is responding to the needs of the legal community and our other community partners. 

As founding member of the Ontario Rehab Alliance, she has also championed countless position papers and government and public relations initiatives, advocating on behalf of the seriously injured and those that serve them.